Cotchett, M. P., Munteanu, S. E., & Landorf, K. B. compares the effectiveness of trigger point dry needling and sham dry needling in patients with plantar heel pain. They stated that plantar heel pain is not only a common source of pain but also a common source of disability. Within this study, there were 198 patients screened to participated, and of those individuals, 84 were enrolled. Being able to see the effectiveness of dry needling is important because dry needling is a great source for pain management. The participants were randomly split into two groups, a control (sham dry needling) and experiment group (real dry needling). They took measurements for the primary outcome (first-step pain, foot pain) at baseline, 2,4,6 and 12 weeks. …show more content…
The participants were treated once a week, 30 minutes at a time for six weeks. The participants were then had follow-up at 12 weeks. To prevent the participants from knowing which treatment they were receiving a curtain was placed across their midsection and if the symptom was bilateral, both limbs were treated. Both groups showed decreased pain at the primary endpoint of 6 weeks. There were, however, significant differences between the two groups that showed favor for real dry needling over sham dry needling. As the weeks went along the differences increased. For real dry needling, the patient's first-step pain (primary measure) decreased from 67.7 to 20.9 compared to the sham dry needling where it changed from 58.5 to 29.9. This shows that the sham dry needling did help the patient just not as much as the real dry needling, therefore showing the significant effect that real dry needling can help with pain management. However, this was the only measure that had a significant change. So overall there are only some benefits to dry needling and some things that it is more effective when combined with other
Sussmilch-Leitch, S. P., Collins, N., Bialocerkowski, A. E., Warden, S. J., & Crossley, K. M. (2012). Physical therapies for achilles tendinopathy: systematic review and meta-analysis. Journal of Foot and Ankle Research , 1-16.
Drypers holds a competitive position in the market because they have product innovation. With the great features offered with their products, they hold a solid positon in the market. Although their products are premium quality, they’re sold at great prices that consumers love.
Plantar fasciitis is caused from muscles and ligaments that alter the calcaneous (the big bone on hill of foot) (Daniels and Morrell 2012). The alteration of these muscles and ligaments will inflict pain and discomfort on the patient, and if not treated will cause failure of ligaments, bones, and muscles. The patient was tested with a simple squat technique that showed his heels were coming off the ground (Daniels and M...
Foot posture index shows p value .004 less than .05 and again the mean value of FPI in case group higher than the control group. In this case also null hypotheses are rejected and show the significant difference between two groups. Two independent sample t tests shows greater significant difference, it states that two group as difference in the body mass and foot mass index. This supports the hypotheses being tested by the researcher. Participants with chronic plantar heel pain case group should differ from the control group in obesity and pronated foot to support that, these two factors may be the risk factor for chronic plantar heel pain.
...tive pain management and Improvement in patients outcomes and satisfaction [Magazine]. Critical Care Nurse, 35(3), 37,35,42. Retrieved from
Assessing and managing pain is an inevitable part of nursing and the care of patients. Incomplete relief of pain remains prevalent despite years of research due to barriers such as lack of kn...
"The philosophy that you have to learn to live with pain is one that I will never understand or advocate," says Dr. W. David Leak, Chairman & CEO of Pain Net, Inc. (1). Indeed, the notion that pain is an essential element of life, and that one must endure pain to achieve something positive (as conveyed in the omnipresent athletic mantra "no pain, no gain") has informed our sense as a society of how pain is to be dealt with. Only recently, with increasing awareness in the health care community that managing a patient's pain is a complex, yet crucial aspect of their care, has society's view of pain and its management begun to change. "Pain Management" is itself a ne...
(2010). Evidence-Based Review of Manual Therapy Efficacy in Treatment of Chronic Musculoskeletal Pain. Pain Practice, 10(5), 451-458. doi:10.1111/j.1533-2500.2010.00377.x
The initial goal is to reduce the surrounding inflammation, applying ice is very important to reduce inflammation. Foot orthotics can reduce the strain in the plantar fascia during static loading, minimize the collapse of the medial longitudinal arch, and reduce pronation. The usage of orthotics and heel pads is to achieve maximum comfort and proper alignment of the foot. A night splint keeps the patients ankle in a neutral position overnight, while passively stretching the calf and plantar fascia during sleep. This may allow the plantar fascia to heal. A corticosteroid injection may be use if conservative treatments fail. Steroid injections can be repeated, but patient should be warned of complications such as plantar fascia rupture (Porter and Shadbolt, 2005). Physical therapy treatments such as ultrasound therapy, and laser therapy are used in treating and heeling plantar fascia. A combination of non- operative treatment modalities may have up to 90 per cent success rate in treating plantar fasciitis with a year (Singh, 1997 and Davis,
Jackson, M.A. & Simpson, K. H. (2006). Chronic Back Pain. Continuing Education in Anaethesia, Critical Care and Pain, 6(4), 152-155. http://dx.doi: 10.1093/bjaceaccp/mkl029
...amount of pain) is a great teaching tool for the patient who is able to self-report (Nevius & D’Arcy, 2008). This will put the patient and nurse on the same level of understanding regarding the patient’s pain. The patient should also be aware of the added information included with the pain scale: quality, duration, and location of the pain. During patient teaching, it should be noted that obtaining a zero out of ten on the pain scale is not always attainable after a painful procedure. A realistic pain management goal can be set by the patient for his pain level each day.
Persistent nonspecific low back pain (PNSLBP) is one of the most common chronic, recurrent, and disabling conditions that have been known to be resistant to treatment. In Korea, wet-cupping therapy is a common practice used for various pain conditions; this study was conducted to determine the effectiveness and safety of wet-cupping treatment for PNSLBP. Thirty-two participants were recruited, both males and females ranging in age from 20-60, and randomly assigned into two groups (21 in the wet-cupping group and 11 in the waiting-list group). Participants assigned to the treatment group received wet-cupping therapy 3 times a week for 2 weeks, focusing on trigger points in the lower back that had already been pre-identified as painful points
...cated foot orthoses on pain and function in individuals with patellofemoral pain syndrome: a cohort study. Physical Therapy in Sport. 2011;12:70-75
A study was made by wonderful authors about dry needling technique as an intervention to relieve complex musculoskeletal pain. This study focused on highly irritable spots such as the lower back, knee and lumbar regions. Myofascial trigger points are said to be a primary source of complaint among patients who were seen by the specialist in a different setting. Non-invasive methods such as massage and oral medication have shown to improve pain without resulting in patient stress. Another approach made by a Canadian physician named Dr. Chan Gunn, focused on the performance of needling not just at the pain, site, but also on paraspinal muscle on the same spinal segment that innervates the painful
Do you know what causes this heel pain? Does this ailment have any symptoms? What precautions can you take to avoid the pain? Are there any home remedies or treatments that can help you heal the heel pain? When is it the right time to see a podiatrist or doctor? All these questions must be bothering you, aren’t they? This post is dedicated to answer all the